Va form 1172-2026

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The document is an application form (DD Form 1172-2) for obtaining a Department of Defense (DoD) identification card and enrolling in the Defense Enrollment Eligibility Reporting System (DEERS). It includes sections for personal information of the sponsor/employee, declaration, authorization by a sponsoring office, dependent information, and receipt acknowledgment. The form also contains privacy and disclosure statements regarding the use of the collected information.

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Click ‘Get Form’ to open VA Form 1172 in the editor.
Begin with Section I, where you will enter the Sponsor/Employee Information. Fill in your name, gender, SSN or DOD ID number, and other personal details as required.
Proceed to Section II to provide your declaration and remarks. Ensure you sign and date the form accurately; if not signed in front of an official, notarization is necessary.
In Section III, complete the Authorized By section by entering details about the sponsoring office, including contact information and assignment dates.
If applicable, fill out Section IV for dependent information. You may need to attach additional pages for more dependents.
Finally, acknowledge receipt of the new card in Section V by signing and dating it before submission.

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